Mittagong Markets
 
STALLHOLDER APPLICATION
 
I would like to apply for a stall at
Mittagong Monthly Market
on the 3rd Saturday of the Month
 
Mittagong 5th Saturday Market
(Only on in March, June, September & December)
YOUR DETAILS
Business Name
*Phone
  
*Contact Name
Mobile
  
Address
Fax
 
City
Web
  
State
 Postcode
*Email
Vehicle Registration
ABN
     * Required Fields   
I have my own Public Liability Insurance
I am a member of The Market Stallholders Register
PRODUCT DETAILS  
Please supply a FULL description of the goods that you wish to sell. 

Your Public Liability Insurance Details (Mandatory for each Stallholder)  

Company:

Policy Number:

Expiry Date:
Your Product Liability Insurance Details (Mandatory for each Stallholder)

Company:

Policy Number:

Expiry Date:
Terms and Conditions Click Here to read the Terms and Conditions
(Please read these conditions carefully before completing the form)
I/we have read and understood the TERMS and CONDITIONS of the 'Mittgong Markets',
my/our responsibilities and their ramifications to me/us.
I/we acknowldge my/our agreement to accept them and will abide by them in their entirity.
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FOR MARKET INFORMATION PLEASE • CONTACT ROBERT BASSETT • PHONE & FAX : 02 4684 1261 • MOBILE : 0408 416 175